Provider Demographics
NPI:1528587045
Name:MASELLA, KRISTINE
Entity Type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:
Last Name:MASELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KRISTINE
Other - Middle Name:
Other - Last Name:PAPAGNI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:91 CREST AVE
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-2154
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:91 CREST AVE
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-2154
Practice Address - Country:US
Practice Address - Phone:617-884-5660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-15
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2272801163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse